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W o r l d C o n g r e s so n O f f i c e H y s t e r o s c o p y a n d R e s e c t o s c o p yA G U I A n n u a l W o r k s h o p o n E n d o s c o p y

Bari - Italy May 18-21 2011Sheraton Nicolaus Hotel

Associazione GinecologiUniversitari Italiani

1st Clinic of Gynecology and ObstetricsDIGON - Dept. of Gynecology, Obstetrics & Neonatology

University of Bari

Honorary PresidentProf. Luigi Selvaggi

PresidentProf. Stefano Bettocchi

FORUM

W o r l d C oo n O f f i c e A G U I A n n u

Repubblica ItalianaMinistero Affari Esteri

Comune di BariProvincia di Bari

Azienda OspedalieraUniversitaria Policlinico

Associazione Ginecologi Universitari Italiani

DIGONDept. of Gynecology, Obstetrics & Neonatology

University of Bari

UNDER THE HIGH PATRONAGE OF

UNDER THE AUSPICES OF

Regione PugliaPresidente della Giunta Regionale

Assessorato al Mediterraneo Cultura e TurismoAssessorato alle Politiche della Salute

Dear Friends,

We are very proud to receive in Bari our colleagues coming from all over the world forthe "1st World Congress of Office Hysteroscopy and Resectoscopy - 1st AGUI ANNUALWORKSHOP ON ENDOSCOPY", which will be held from May 18th to 21st 2011.

This is the second time in which Bari will be the theatre for an International Meeting onGynecological Endoscopy, after the ISGE 2008 World Congress of Gynecologic Endoscopy.The University of Bari has always paid particular attention to the field of GynaecologicEndoscopy, becoming one of the International reference centers for Office Hysteroscopyand receiving many foreign trainees every year.

Office Hysteroscopy is not a new field. However, less attention has been paid to thisarea in meetings and congresses. Being an important part of gynaecological endoscopy,we have decided to focus on a topic that probably still need to be answered and on allthe new technological improvements and hot topics in this field. We aim to put togetherthe idea of a technical workshop together with a specialist congress.

The 1st day will be dedicated to technological improvements and hot topics in Hysteroscopyand Resectoscopy. New instruments and electronic devices will be presented for the firsttime. Televoting systems will be used to evaluate the general trend of opinions. The 2nd

and 3rd days will be dedicated to live surgery sessions from both office and operatingtheatre performed by International experts and junior surgeons. The trends of the audiencewill be discussed comparing the televoting results obtaining first and after live surgerysessions.A great number of experts will drive the discussion in the conference hall involving allthe participants by using a TV debate's model.

The last day will be fully dedicated to the "Hands-On" using many workstations for directtraining. This will be an occasion for both residents and junior doctors to get into thedifferent techniques assisted by experts.

This meeting will also be an occasion to taste the typical cuisine of this area and visitarchitectural and natural beauties of the Apulia region, which is famous for its sunnyweather, as well as warm and friendly people.

Welcome to Bari

President of the Congress Honorary PresidentProf. Stefano Bettocchi Prof. Luigi Selvaggi

INVITED FACULTY

Mario ACCARDI ItalyMaria Teresa ACHILARRE ItalyStefano ANGIONI ItalyBruno ARDUINO ItalyGiovanni BELLOFIORE ItalyStefano BETTOCCHI ItalyGiuseppe CAMMARERI ItalyRudi CAMPO BelgiumSebastiano CAMPO ItalyClementina CANTATORE ItalyGiampiero CAPOBIANCO ItalyPaolo CASADIO ItalyOronzo CECI ItalyVito CELA ItalyAndrea CIAVATTINI ItalyEttore CICINELLI ItalyNicola COLACURCI ItalyAlfredo COSTANTINO ItalyClaudio CRESCINI ItalyGabriele D’ALEO ItalyCarlo DE ANGELIS ItalyPeter DE JONG S. AfricaGiuseppe DE PLACIDO ItalySalvatore DESSOLE ItalyAttilio DI SPIEZIO SARDO ItalyRaffaella DI VENERE ItalyDaniel EBY USAMark Hans EMANUEL The NetherlandsItzhak FAINSTEIN IsraelMartin FARRUGIA UKFatima FAUSTINO PortugalHervé FERNANDEZ FranceAlberto FRADIQUE PortugalMario FRANCHINI ItalyMotti GOLDENBERG IsraelGioacchino GONZALES ItalySilvana GRASSO ItalyPantaleo GRECO ItalyGiampietro GUBBINI ItalyMaurizio GUIDA ItalyZion HAGAI IsraelJacques HAMOU FranceRitva HURSKAINEN FinlandKeith B. ISAACSON USAMichele LA GRECA ItalyAnna Franca LAERA Italy

INVITED FACULTY

Livio LEO ItalyFrancesco P. G. LEONE ItalyRoberto LIGUORI ItalyArie LISSAK IsraelPietro LITTA ItalyFranklin LOFFER USAGiuseppe LOVERRO ItalyMassimo LUERTI ItalyJoao MAIROS PortugalGiovanni MANGIATORDI ItalyFrancesco MANGINO ItalyFiorino MARELLO ItalyMaria MATTEO ItalyIvan MAZZON ItalyLuca MENCAGLIA ItalyMario MONTANINO ItalyCarmine NAPPI ItalyLuigi NAPPI ItalyKlaus J. NEIS GermanyHrishikesh PAI IndiaMinas PASCHOPOULOS GreeceFelice PATACCHIOLA ItalyAntonio PERINO ItalyCiro PERONE ItalyLauro PINTO ItalyGiovanni PONTRELLI ItalyAlexandr POPOV RussiaRuggero PULCINELLA ItalyGennaro RAIMONDO ItalyEnzo RICCIARDI ItalyRaffaele RICCIARDI ItalyAngela SANTORO ItalyFrancesco SBANO ItalySergio SCHETTINI ItalyLuigi Junior SELVAGGI ItalyOsama SHAWKI EgyptEugenio SOLIMA ItalyDavid SORIANO IsraelHans Rudolf TINNEBERG GermanySpiros TSADILAS GreeceBruno VAN HERENDAEL BelgiumBranka ZEGURA SloveniaGaetano ZIZZA ItalyRobert K. ZURAWIN USA

May 18

08.30 Participant Registration

WHAT’S NEW

InstrumentationModerators: S. Angioni - P. Litta - D. Zizza

08.45 Removing the scalpel from gynecologyD. Eby

09.00 Hysteroscopic morcellation in the office with the Truclear 5.0 SystemM.H. Emanuel

09.15 AlphaScope - State of the art in fiberscopesE. Cicinelli

09.30 New pump for office hysteroscopy and resectoscopyO. Ceci

TechniquesModerators: M. Accardi - V. Cela - G. Raimondo

09.45 Hysteroscopic diagnosis and treatment of residual trophoblastic tissueR. Pulcinella

10.00 H.E.O.S. - a new approach of operative hysteroscopyR. Ricciardi

10.15 New technology applied to office hysteroscopyK.B. Isaacson

Electrical toolsModerators: G. D’Aleo - S. Dessole - R. Liguori

10.30 Hysteroscopic exploration of the subendometrial myometrium usinga new instrumentationR. Campo

10.45 BIOH - a new integrated hysteroscopeS. Bettocchi

11.00 Versapulse technology of versapoint IIM. Farrugia

11.15 Discussion & Round TableSEGI BOARD MEETING

Mini Meeting Room from 11.30 to 14.00

FORUM

May 18

May 18

12.00 O P E N I N G C E R E M O N Y

13.00 Welcome cocktail

HOT TOPICS IN OFFICE HYSTEROSCOPYModerators: E. Cicinelli - O. Ceci - C. Crescini - C. De Angelis

14.30 Resistence to replace D&C and other blind proceduresA. Di Spiezio Sardo

PATIENT APPROACH

14.40 Anesthesia-free procedure with vaginoscopical approachL. Nappi

14.50 Use of medications and anesthesia in a classic settingM. La Greca

15.00 Economical impactAdvantages for the hospital and for the patientM. Guida

15.10 TrainingGreat demand from young doctors and the need for a specific modelM.T. Achilarre

15.20 Office Hysteroscopy: the AGIF’s point of viewE. Ricciardi

15.30 Discussion & Televoting

May 18

May 18

HOT TOPICS IN RESECTOSCOPYModerators: N. Colacurci - G. De Placido - P. Greco - F. Loffer

INTRAVASATION

16.00 Is it still a risk?M. Farrugia

16.10 Should bipolar energy reduce the risks?L. Mencaglia


ADVANTAGES OF NEW MINIATURIZED INSTRUMENTS

16.30 Big is better!J. Hamou

16.40 Small is safer!

G. Gubbini


TRAINING

17.00 Support of virtual realityR. K. Zurawin


17.20 VIDEOS OF UNUSUAL CASESModerators: C. Nappi - F. Sbano - F. Patacchiola

May 18

May 19

08.15 Summary of the Day

08.30 INTRODUCTION TO THE PROBLEM: “STERILITY & INFERTILITY”Moderators: G. Loverro - A. Popov - S. TsadilasSpeaker: L. Selvaggi Jr.

08.40 Televoting

08.45 Live Surgery (Office) with US examinationOperators: F. Marello - M. Matteo - O. ShawkiDiscussion

09.30 Consensus using Televoting

09.45 INTRODUCTION TO THE PROBLEM: “SEPTUM & SUB-SEPTUM”Moderators: B. Arduino - A. Perino - B. ZeguraSpeaker: R. Campo

09.55 Televoting

10.00 Live Surgery (Office & Operating Theatre)with US examinationOperators: M.T. Achilarre - K.B. Isaacson - F. ManginoDiscussion


11.45 INTRODUCTION TO THE PROBLEM“ANATOMICAL IMPEDIMENTS & SINECHIAE”Moderators: G. Cammareri - A. FradiqueSpeaker: M. Paschopoulos

11.55 Televoting

12.00 Live Surgery (Office & Operating Theatre) with US examinationOperators: S. Campo - G. Pontrelli - G. RaimondoDiscussion


13.45 Light lunch

May 19

May 19

14.45 INTRODUCTION TO THE PROBLEM

MYOMAS: COLD TECHNIQUE vs CLASSIC TECHNIQUEModerators: G. Capobianco - M. Goldenberg - K.J. Neis - R. Pulcinella - D. SorianoSpeaker: I. Mazzon

14.55 MYOMAS: INDICATIONSSpeaker: B. van Herendael

15.05 Televoting

15.10 Live Surgery (Office & Operating Theatre)with US examinationOperators: A. Di Spiezio Sardo - J. Hamou - I. Mazzon - S. BettocchiDiscussion


May 19

May 2008.15 Summary of the Day


DISFUNCTIONAL UTERINE BLEEDING/ENDOMETRIAL RESECTIONModerators: H. Fernandez - P. Greco - G. Loverro - C. PeroneSpeaker: H. Fernandez

08.40 Televoting

08.45 Live Surgery (Operating Theatre) with US examinationOperators: S. Angioni - M. Farrugia - L. MencagliaDiscussion



TUBAL STERILIZATIONModerators: A. Ciavattini - R. Hurskainen - L. LeoSpeaker: H. Pai

10.40 Televoting

May 20

May 20

10.45 Live Surgery (Office & Operating Theatre) with US examinationOperators: A. Di Spiezio Sardo - M. Franchini - J. MairosDiscussion


12.15 INTRODUCTION TO THE PROBLEMENDOMETRIAL ABNORMALITIESModerators: G. Raimondo - S. Schettini - E. SolimaSpeaker: H.R. Tinneberg

12.25 Televoting

12.30 Live Surgery (Office) with US examinationOperators: G. Gonzales - A. Lissak - G. MangiatordiDiscussion


13.45 Light lunch

INTRODUCTION TO THE PROBLEMPOLYP REMOVAL: PROS&CONSModerators: F. Faustino - I. Fainstein - Z. Hagai - F.P. Leone - H.R. Tinneberg

14.45 PROSSpeaker: P. De Jong

14.55 CONSSpeaker: M. Luerti

15.05 Televoting

15.10 Live Surgery (Office & Operating Theatre) with US examinationOperators: P. Casadio - O. Ceci - E. Cicinelli - H. Emanuel - L. PintoDiscussion


18.30 Closing Ceremony

May 20

May 21TutorsM. Accardi - M.T. Achilarre - S. Angioni - B. Arduino - G. Bellofiore - S. BettocchiC. Cantatore - O. Ceci - A. Costantino - A. Di Spiezio Sardo - R. Di VenereS. Grasso - M. Guida - A.F. Laera - G. Mangiatordi - F. Marello - M.G. MatteoM. Montanino - L. Nappi - C. Perone - L. Pinto - G. Pontrelli - G. RaimondoA. Santoro - F. Sbano - L.J. Selvaggi

May 21 HANDS-ON from 8.30 to 17.00

MODERATORSEach session will have a short introduction, made by one Speaker, focused on different opinionson specific issues, evaluating pros and cons of “office” instead of “operating room” setting. TheModerators will have the role to guide the discussion towards different ideas during the livesurgery and after that, using an approach similar to a “talk show”. Moderators will have a“dynamic” position in the room, not sitting at a table in front of the audience, but among theparticipants and walking through them, with a wireless ear microphone, to involve juniors andexperts in the debate. Televoting will help Moderators to evaluate changes in audience opinions,grade of simplicity and feasibility of surgical techniques, showed during live surgery.

SPEAKERSSpeakers should strictly observe speaking time (10 minutes).Only one speech will introduce the matter for each session, before live surgery, showing the“state of art”, based on recent literature, focusing on indications, techniques, instrumentations,complications, pros and cons of Office Hysteroscopy versus Resectoscopy, regardless of personalexperience.

I DayThanks to technological improvements, hysteroscopic surgery has played a rising and irreplaceablerole in “Women Health”, but there are still many open questions and “Hot Topics” to discusstogether, on “patient approach, economical impact, and training” regarding Office Hysteroscopy,and the risk of major “complications” regarding Resectoscopy.

II DayWe will begin approaching the “Infertile Patients” showing the role of Office Hysteroscopy asa powerful diagnostic and therapeutic tool in this field.Then we will focus on the “Septate Uterus”, a pathology with an important impact on woman’sfertility, showing first the hysteroscopic diagnostic criteria, then the surgical technique andinstruments for Office and Resectoscopic Metroplasty.Another topic of the day will be “Anatomical Impediments and Sinechiae”, a frequent challengein approaching postmenopausal patients in an office setting, pointing out simple tips and tricksto perform a successful procedure, avoiding unnecessary anesthesia and operating theatre.Finally the rest of the day will be all dedicated to “Myomas”, the most common pathologywhich requires gynecologist intervention, referring to indications and techniques for Office andResectoscopic approach.

III DayThis day will be focused on “Dysfunctional Uterine Bleeding and Endometrial Ablation”, analternative approach to reduce the need of curettage and hysterectomy for patients nonresponders to medical treatment, showing different instrumentations and techniques available.Another disputed matter is the role of Hysteroscopy in the diagnosis and treatment of “EndometrialAbnormalities”, such as Hyperplasia and Cancer, in particular the risk of malignant cells spreadinto the abdominal cavity and the possibility to treat focal carcinoma, above all for patientswith high anesthesiological risk.“Tubal Sterilization” is another new application of the Office approach, avoiding unnecessaryhospitalization and major surgical interventions.The session will conclude with the controversial issue regarding “Polyps Removal”, in particularindications for Office or Resectoscopic surgery, technique and expedience of polypectomyregardless of patient’s symptoms and age.

Scienti f icInformation

GeneralInformation

VENUEThe 1st World Congress on Office Hysteroscopy and Resectoscopy 1st AGUI Annual Workshopon Endoscopy and SEGI FORUM - Bari (Italy), May 18-21 2011 will be held in Bari at theSheraton Nicolaus Hotel. Address: Via Cardinale A. Ciasca, 9 - 70124 Bari (Italy) - tel. +39 080.5682111

REGISTRATION DESK The congress secretariat will be available from 8.00 to 19.00.

WORKING LANGUAGE The official language of the congress will be English. Simultaneous translation from/to Italian will be provided.

SEGI BOARD MEETINGThe SEGI Board Meeting will be held on May 18 in the Mini Meeting Room from 11.30 to 14.00.

BADGES Upon registration you will receive your personal envelope containing your badge. All participants,accompanying persons and exhibitors are kindly requested to wear their badges throughout thecongress in order to be admitted to the scientific sessions and other scheduled activities.

C.M.E. ACCREDITATIONAccreditation of the EACCME (European Accreditation Council for Continue Medical Education) andof the Italian National Accreditation Commission for Continuing Medical Education has been requestedfor this congress. The Credit certificates will be granted only to participants that have successfullyattended the whole meeting and if their professional qualifications comply with those required forentitlement to the study credits. The C.M.E. credit certificate will only be issued after the participanthas completed and returned the assessment questionnaire at the end of the congress.

SOCIAL EVENTS

Welcome Cocktail • May 18The welcome cocktail will be held on May 18 h 12.00 at the Sheraton Nicolaus Hotel.

Social dinner • May 19The Social dinner will be held on May 19 h 20.30 at the Sheraton Nicolaus Hotel.The cost per person is € 80,00.

A special thanks to

W o r l d C o n g r e s so n O f f i c e H y s t e r o s c o p y a n d R e s e c t o s c o p yA G U I A n n u a l W o r k s h o p o n E n d o s c o p y

Bari - Italy May 18-21 2011Sheraton Nicolaus Hotel

and also

University of Bari Fondazione Cassa di Risparmio di Puglia

FORUM

Regione PugliaPresidente della Giunta Regionale

Assessorato alle Politiche della Salute

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